1,721,055 research outputs found
Effect of Blood Flow Restriction Training on Physiological Outcomes in Healthy Athletes: a Systematic Review and Meta-Analysis
No full textBackground. Blood flow restriction (BFR) training is gaining increasing attention in the scientific community. Studies using exercise combined with blood flow restriction have shown muscle strength and size improvement. In fact, the main feature of BFR training is that can elicit muscle hypertrophy and strength adaptations using light external loads (20-30% one repetition maximum, 1RM) comparable to what is typically seen following high-load (IIL) training programs with 70-85% 1RM. This specific training has applications for individuals who may not be able to tolerate ihe mechanical stresses associated with higher loads, such as the elderly or injured; thus, several investigations have focused on implementing BFR exercise within older and clinical populations. However, the effects of this kind of technique in healthy athletes are not dear in scientific literature. The purpose of this study is to conduct a systematic review with meta-analysis to evaluate the qualitative and quantitative results of blood flow restriction training in healthy athletes.Methods. PRISMA guidelines were used to carry out the systematic review and meta-analysis. Three electronic databases were searched: MEDLINE, PEDro, and the Cochrane Library. Papers included in the study have the following characteristics: a) a randomized controlled trial or clinical trial design of research, b) studies investigating physiological effects of BFR training in healthy athletes and c) published in English. The approach to data extraction was chosen on the basis of the Cochrane Methods. Studies quality and risk of bias of the clinical trials included were evaluated according to a adad score and through meta-analysis.Results. After the elimination of duplicates, 164 records were screened. Among these, 14 studies were included in the systematic review. Seven of these were involved in the meta-analysis. From the qualitative analysis, a larger number of studies were found with a low level of quality.Conclusions. The application of BFR positively influences muscular adaptations compared with exercise under normal blood-flow conditions, in terms of increased VO2 max, higher strength increase, and muscles adaptations. Thus. BFR provides a feasible, promising, and beneficial complementary training stimuli when used in a controlled environment supervised by trained and experienced personnel
The Effect of Hydrokinetic Therapy on Patients with Low Back Pain: A Systematic Review and Meta-Analysis
No full textBackground. Musculoskeletal disorders (MSDs) are a leading cause of disability inter-nationally, particularly low back pain (LBP), which accounts for 60% of occupational diseases. Aquatic therapy has been used to treat various diseases. The aquatic setting has properties that can be used to obtain benefit through exercise. The primary aim of this systematic review was to evaluate physiotherapy qualitatively and quantitatively in a water environment in patients with LBP carrying out a meta-analysis to provide a guidance instrument about the efficacy of this kind of treatment.Methods. This review was conducted in compliance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) protocol. We searched the PubMed, Scopus, Web of Science, CINAHL, and PEDro databases for studies to include. Only randomized controlled trials were included. To evaluate the risk of bias, the Jadad and PEDro scales were used.Results. After removing duplicate articles, 19 articles remained. Of these, 10 studies were of high-quality, while the remaining 9 achieved a score indicative of a low qual-itative level.Conclusions. Aquatic therapy is beneficial to use in addition to conventional therapy in patients with LBP, with outcomes visible in the short-term.Study registration. Review was registered in Prospero website http://www.crd.york. ac.uk/PROSPERO with registration number: CRD42021250750
Validity and responsiveness of the psychosocial impact of assistive device scale in hip arthroplasty patients
No full textBACKGROUND: Hip arthroplasty (HA) is considered one of the major advances in the treatment of orthopedic diseases, and one of the most performed surgeries in the world. Rehabilitation and assistive devices play a fundamental role for the recovery. However, regarding assistive devices a high rate of non-use is registered, and no evaluation tools are available. The objective of the present research is to evaluate measurement properties of the Italian version of the Psychosocial Impact of Assistive Device Scale (IT-PIADS) in hip arthroplasty patients. METHODS: The IT-PIADS was administered to different hip arthroplasty patients into Policlinico Umberto I University Hospital. The internal consistency and reliability were analyzed by Cronbach' α and Intraclass Correlation Coefficient, respectively. To determine clinical utility of the IT-PIADS, the responsiveness was examined. RESULT S: Ninety participants who used different assistive devices for activity of daily leaving were selected. The reliability showed excellent values for Competence, Adaptability and Self-esteem sub-scales (0.957, 0.966, 0.963) and good internal consistency (Cronbach'α 0.800). The responsiveness analysis showed all significant values (P<0.05). CONCLUSIONS: PIADS demonstrated good measurement properties. Now health professional could use a reliable and valid assessment tool for both clinical and research purpose. The present findings lay the foundations for the comprehension of use/non-use of assistive devices in HA population
Evaluation instruments for executive functions in children and adolescents: an update of a systematic review
No full textIntroductionThe aim of this study is to update a systematic review of instruments for evaluating the executive functions (EFs) in a pediatric population to assess their measurement properties.Area coveredStudies describing evaluation tools of EFs were systematically searched on four electronic databases: PubMed, EBSCO, Scopus, and Web of Science. To be included studies had to be on a population aged 0 to 18 were included. The individuals were either healthy or presented a neurodevelopment disorder. Risk of Bias was evaluated through the Consensus-based Standards to select the health Measurement Instruments (COSMIN).Expert opinionThe search was conducted on April 2023. Eighty-four papers met the inclusion criteria and were included in the study; the studies refer to 72 different evaluation tools of EFs. Most of the studies analyzed through a methodological quality analysis received an 'adequate' score. The instrument most mentioned was the Behavior Rating Inventory of Executive Function-2 (BRIEF2) in seven articles
The use of a dedicated platform to evaluate health-professions university courses
No full textThe aim of the current study is to discuss a national platform for evaluating nursing education in Italy by means of a progress test and to compare digital versus paper administration of the test. In 2016, the agency updated the research design, including the domains, the methodological approach, and the tests for both Transversal Competencies (TECO-T) and Disciplinary Competencies (TECO-D). The TECO project aims to construct indicators that reflect the skills developed from the first through the third year of the university degree. For the digital study, 8516 students at 19 Italian university universities were recruited; 5975 students of degree courses in nursing took the electronic TECO, and 4326 used the paper format. Asked to evaluate their satisfaction in completing the TECO, the students found it simple, clear, and understandable, but reported difficulty in answering questions due to a lack of practicality in the paper test. The project encourages the development of shared core disciplinary contents and their compatibility with the Dublin Descriptors; allows the development of disciplinary tests (TECO-D) whose results can be used for self-assessment and inter- and intra-university comparisons; and ensures centralized management of the collection of data
The efficacy of executive function interventions in children with autism spectrum disorder: a systematic review and meta-analysis
No full textIntroduction: Children with Autism Spectrum Disorder (ASD) experience difficulties in Executive Functions (EFs) performance. However, the efficacy of EF intervention needs to be further investigated. Objective: To evaluate the efficacy of different EF interventions in children and adolescents with ASD. Methods: A systematic review and meta-analysis were carried out according to PRISMA guidelines. Relevant databases including PubMed, PsycINFO, Scopus, and Web of Science were searched up to November 2019. Papers included in the study have the following characteristics: randomized controlled trial or quasi-experimental design and published in English or Spanish. Results: After the elimination of duplicates, 949 were screened. Among these, six were included in the systematic review. The main approaches for EF in ASD were computer-based interventions, cognitive-behavioral therapy, and assisted-animal therapy. Statistically significant results (p = 0.003) were found in using exergames. Conclusion: Different approaches can be used for improving EF intervention, with positive effects on working memory, behavior, and flexibility
Rehabilitation effects in patients with total hip replacement: A systematic review and meta-analysis
Full text linkINTRODUCTION: Assess effectiveness and times of total hip replacement rehabilitation treatment through a systematic review with meta-analysis EVIDENCE ACQUISITION: Bibliographical research has been made with the following search engines: PubMed, Pedro and Cinalh. For pool analysis evaluation, it has been used the standardized mean difference (SMD). Heterogeneity between studies had been controlled through the I2 test. EVIDENCE SYNTHESIS: Fourteen of those studies have met the inclusion criteria. These have been divided into three different groups to assess different aspects of THR patient rehabilitation program: a rehabilitation path ' entirely made and supervised by a physiotherapist ' has been compared with an unsupervised one; an intensive rehabilitation path has been compared with a standard one and the early beginning of the treatment has been compared with a standard one. CONCLUSIONS: considering the great rise of THR surgeries, is important to minimize costs and logistic efforts for the postoperative rehabilitation program ensuring identical or better outcomes. Thinking of that and of RCTs data it seems evident that, while recognizing physiotherapist as a key element of the rehabilitation program, postoperative treatment should focus on an unsupervised rehabilitation program after a first period of a supervised intensive rehabilitation program
A systematic review of the measurement properties of the Michigan Hand Outcomes Questionnaire (MHQ)
No full textThis systematic review of the literature aimed to identify studies examining the measurement properties of the Michigan Hand Outcomes Questionnaire (MHQ) in various international populations and investigate its use in various diagnoses and health conditions. The search was conducted in MEDLINE (via PubMed), SCOPUS, CINAHL and Web of Science, with no restrictions on publication date, country or patient age. Study quality and risk of bias were assessed using the COnsensus-based Standards to select the health Measurement INstruments (COSMIN) checklist. 312 publications were identified and screened; 55 studies met the inclusion criteria and were critically reviewed. These publications comprised 16 languages and 11 pathologies and mainly investigated the internal consistency, construct validity and reliability of the MHQ. In general, all the measurement properties of the instrument showed good scores. The present review shows that the MHQ is a valid patient-reported outcome measure (PROM) and can be properly used in different clinical and rehabilitative contexts. Level of evidence: 2A
Conservative rehabilitation treatments of iliotibial band syndrome: A systematic review
No full textBackground. Iliotibial band syndrome (IBS) one of the most common injury of the lateral knee. This is an overuse injury, and it has an increased occurrence rate in populations favouring running and other multidisciplinary endurance sports. In many cases, the pain quickly subsides upon cessation of activities. For this reason, rehabilitation plays an essential role in reducing days of inactivity. Objective. The purpose of this study is to evaluate the qualitative results of conservative rehabilitation treatments of IBS. Methods. The following four electronic databases were systematically searched from March to May 2020: Medline, PEDro, Scopus and Web of Science. Papers included in the study met the following prerequisites: experimental studies with or without a control group about conservative treatments of IBS. Titles, key words, and abstracts identified through the databases were screened independently by two reviewers/searchers. Duplicates were first eliminated from the total number of studies found in the literature through the four databases. Subsequently, after reading the title and abstract, studies against the inclusion criteria were eliminated. Two reviewers independently extracted patient demographics and descriptive information. These characteristics were judged on the basis of information provided in the reports on the studies. Study quality and risks of bias were assessed using the Jadad scale and Pedro scale. Results. Twelve experimental studies were included in this systematic review. Three of these are Radomized Controlled Trials three are pre-post-test and six are case reports and case series. Conclusions. IBS responds positively to conservative treatment. More precisely, in the acute phase, shockwaves can be used, and rest and ice are recommended. Stretching and strengthening exercises should be started after the acute phase. Mulligan techniques on the hip and knee can also be used to treat iliotibial band syndrome
Northeastern State University College of Optometry (NSUCO) Oculomotor Test: cultural adaptation and assessment of psychometric properties in the Italian language
No full textBACKGROUND: The aim of the study was to translate and culturally adapt the Northeastern State University College of Optometry (NSUCO) oculomotor test for the Italian language and evaluate its psychometric properties for use on a healthy pediatric population.METHODS: International guidelines were followed for the translation and cultural adaptation process. The internal consistency and stability of the scale were calculated using Cronbach's a and the interclass correlation coefficient (ICC), respectively.RESULTS: The scale was administered to 160 subjects ages 5 through13 years recruited bythe Comprehensive Institute of Central Italy. The Italian version of the NSUCO test showed a Cronbach's a of 0.73 and good stability at the intra-rater (ICC with a range between 0.50 and 0.84) and inter-rater (ICC with a range between 0.71 and 0.97).CONCLUSIONS: The study provides Italian orthoptists with a valid and reliable tool, usable in a rapid manner in clinical practice in the evaluation of saccadic and tracking movements in a healthy Italian pediatric population
- …
